Provider Demographics
NPI:1851791420
Name:APPLIED BEHAVIOR ANALYSIS CONSULTATION SERVICES, INC.
Entity Type:Organization
Organization Name:APPLIED BEHAVIOR ANALYSIS CONSULTATION SERVICES, INC.
Other - Org Name:KELLY PRIETO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:PRIETO
Authorized Official - Suffix:
Authorized Official - Credentials:MS,
Authorized Official - Phone:844-422-2435
Mailing Address - Street 1:19117 ALPHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7215
Mailing Address - Country:US
Mailing Address - Phone:626-757-5963
Mailing Address - Fax:
Practice Address - Street 1:19117 ALPHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7215
Practice Address - Country:US
Practice Address - Phone:626-757-5963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1084472251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services